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ORTHOPEDIC CENTER OF FLORIDA, INC.

Company Details

Entity Name: ORTHOPEDIC CENTER OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Dec 1986 (38 years ago)
Document Number: J49268
FEI/EIN Number 592750728
Address: 12670 CREEKSIDE LN, #202, FORT MYERS, FL, 33919, US
Mail Address: 12670 CREEKSIDE LN, #202, FORT MYERS, FL, 33919, US
ZIP code: 33919
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316700768 2024-01-30 2024-01-30 10201 ARCOS AVE STE 206, ESTERO, FL, 339289461, US 10201 ARCOS AVE STE 206, ESTERO, FL, 339289461, US

Contacts

Phone +1 239-946-4880

Authorized person

Name MARK EDWARD FARMER
Role PRESIDENT
Phone 2394822663

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTHOPEDIC CENTER OF FLORIDA, INC. EMPLOYEES 401(K) PLAN 2020 592750728 2021-08-02 ORTHOPEDIC CENTER OF FLORIDA, INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394822663
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 202, FORT MYERS, FL, 33919
ORTHOPEDIC CENTER OF FLORIDA, INC. EMPLOYEES 401(K) PLAN 2019 592750728 2020-06-05 ORTHOPEDIC CENTER OF FLORIDA, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394822663
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 202, FORT MYERS, FL, 33919
ORTHOPEDIC CENTER OF FLORIDA, INC. EMPLOYEES 401(K) PLAN 2018 592750728 2019-03-22 ORTHOPEDIC CENTER OF FLORIDA, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394822663
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 202, FORT MYERS, FL, 33919
ORTHOPEDIC CENTER OF FLORIDA, INC. EMPLOYEES 401(K) PS PLAN 2017 592750728 2018-09-28 ORTHOPEDIC CENTER OF FLORIDA, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394822663
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 202, FORT MYERS, FL, 33919
ORTHOPEDIC CENTER OF FLORIDA, INC. EMPLOYEES 401(K) PS PLAN 2016 592750728 2017-08-24 ORTHOPEDIC CENTER OF FLORIDA, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394822663
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 202, FORT MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2017-08-24
Name of individual signing MARK FARMER, MD
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC CENTER OF FLORIDA, INC. EMPLOYEES 401(K) PS PLAN 2015 592750728 2016-07-18 ORTHOPEDIC CENTER OF FLORIDA, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394822663
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 202, FORT MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2016-07-18
Name of individual signing MARK FARMER, MD
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC CENTER OF FLORIDA, INC. EMPLOYEES 401(K) PS PLAN 2014 592750728 2015-08-26 ORTHOPEDIC CENTER OF FLORIDA, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394822663
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 202, FORT MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2015-08-26
Name of individual signing MARK FARMER, MD
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC CENTER OF FLORIDA, INC. EMPLOYEES 401(K) PS PLAN 2013 592750728 2014-10-09 ORTHOPEDIC CENTER OF FLORIDA, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394822663
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 202, FORT MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2014-10-09
Name of individual signing JOHN MEHALIK, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-09
Name of individual signing JOHN MEHALIK, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Farmer Mark E Agent 12670 CREEKSIDE LN, FORT MYERS, FL, 33919

Secretary

Name Role Address
FARMER MARK Secretary 12670 CREEKSIDE LN, FORT MYERS, FL, 33919

Treasurer

Name Role Address
MEHALIK JOHN Treasurer 12670 CREEKSIDE LN, FORT MYERS, FL, 33919

President

Name Role Address
COLLINS SANDRA President 12670 CREEKSIDE LN, FORT MYERS, FL, 33919

Chie

Name Role Address
Ruffino Kelli Chie 12670 CREEKSIDE LN, FORT MYERS, FL, 33919

Vice President

Name Role Address
BELIS ANDREW Vice President 12670 CREEKSIDE LN, FORT MYERS, FL, 33919

Events

Event Type Filed Date Value Description
CONVERSION 2024-12-05 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L24000513008. CONVERSION NUMBER 500000261715
REINSTATEMENT 2018-10-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
AMENDMENT AND NAME CHANGE 2011-12-30 ORTHOPEDIC CENTER OF FLORIDA, INC. No data
AMENDMENT 2011-12-30 No data No data
NAME CHANGE AMENDMENT 2006-04-28 ORTHOPEDIC CENTER OF FLORIDA, P.A. No data
NAME CHANGE AMENDMENT 2000-10-17 SPORTS MEDICINE AND JOINT REPLACEMENT SPECIALISTS, P.A. No data
NAME CHANGE AMENDMENT 1992-08-06 SPORTS MEDICINE AND ORTHOPEDIC SPECIALISTS, P.A. No data
NAME CHANGE AMENDMENT 1988-01-25 LARRY S. EISENFELD, M.D., P.A. No data

Date of last update: 03 Feb 2025

Sources: Florida Department of State